Advocate Issue2

F V M A ADVOCATE www.fvma.org

March/april 2013 | Issue 2 – 2013

PRESIDENT’S MESSAGE 7207 Monetary Drive Orlando, Florida 32809 Phone – (407) 851‑3862 Toll Free – (800) 992‑3862 Fax – (407) 240‑3710 info@fvma.org www.fvma.org

Officers Dr. John R. Bass President Dr. Jerry L. Rayburn President-Elect Dr. Richard B. Williams Treasurer Dr. James A. Kanzler Past President Mr. Philip J. Hinkle Executive Director

District Representatives Dr. Charles P. Hall District 1–Big Bend Dr. Richard C. Sutliff District 2–Northeast Dr. Marc A. Presnell District 3–Central Dr. Donald H. Morgan District 4–Tampa Bay Dr. Mark D. Dew District 5–Treasure Coast Dr. Ronald W. Todd Jr. District 6–South Florida Dr. Richard M. Carpenter District 7–Southwest Dr. Michael Epperson District 8–Northwest Dr. Christine M. Storts District 9–Space Coast Dr. Ernest C. Godfrey AVMA Delegate Dr. Stephen Shores AVMA Alternate Delegate Dr. Corey Miller FAEP Representative to the FVMA Executive Board Ex Officio Dr. Glen F. Hoffsis, Dean College of Veterinary Medicine

FVMA Staff

Scott L. Berger Graphic Designer & Illustrator Sandra P. Brooks Accounting/Membership Director Amber Coon Executive Administrative Assistant Ralph E. Huber Industry Relations Director Alssa Mathews Web Designer & Beni Jean Price Financial/Membership Coordinator Diana Ruiz Meetings and Events Coordinator Ann Wade Executive Administrative Assistant

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began the year by attending the AVMA Leadership Conference in Chicago. Florida was represented by Dr. Jenifer Chatfield, who was selected last year as an AVMA Future Leader.

The FVMA tries to identify an emerging leader at the state level to attend the conference. Dr. Laura Seheult attended with us in January. It is important that we recognize potential leaders early in their careers and encourage their participation in organized veterinary medicine. If you have a potential candidate in mind, please notify the FVMA office and we will contact them and gauge their interest.

In February I participated as a member of the AVMA accreditation site team evaluating the Veterinary Technology program at Hillsboro Community College.

The need for certified Veterinary Technicians is growing and the AVMA Accreditation Committee assures that the quality of the graduates matches the needs of the profession.

If you are asked to serve as the FVMA representative on a site visit at one of Florida’s programs, please give it serious consideration. The quality and integrity of these programs will only elevate the profession.

We are currently moving into our new corporate offices in Orlando. The process started last year when Jim Kansler identified the need and began the search for a property. We had simply outgrown our current office and it was becoming a critical issue. During my presidency, we found a suitable building and the Executive Board approved the purchase. Now, Jerry Rayburn will oversee the renovation and actual move. From start to finish, we will have almost three years invested in the new headquarters. It will serve our needs into the foreseeable future as we strive to serve our members in the best possible way.

My year as president is drawing to a close, and I want to thank you, the membership, for allowing me to serve as your spokesman. Adele and I have met many new people and all have a sincere desire to protect and advance the veterinary profession. From the College of Veterinary Medicine, to the corporate offices of industry, to the practitioners seeing clients, and to the support staff at every level, it is amazing to see the enthusiasm for our profession. There are challenges to be met, but our willingness to work together will guide us to the solution. Finally, I would like to thank the FVMA staff and the Executive Board for their outstanding leadership. Without these two groups, there would be no FVMA. Forever humble for this opportunity,

John R. Bass, DVM

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E G A P S R E D N I M E R One of the benefits of membership in the FVMA is our networking which makes useful and at times critical information available to our members. This time of year during tax filing season, we at the FVMA are made aware of some of the unique challenges and concerns faced by members. We have received calls for advice and clarification about the state sales tax on “prescription” pet foods which went into effect two years ago. Another issue we find is an area of interest to is the CE. We fielded numerous calls about recent changes to CE requirements in the run-up to our 84th Annual Conference that was held April 5 – 7.

We have therefore compiled a “Reminders Page” on the four main issues we have received queries about in the past two months.

SALES TAX RULE CHANGE ON “PRESCRIPTION” PET FOODS

• A new application must be submitted whenever there is a change in a veterinarian’s contact information.

The USDA removes a veterinarian from its data base The Florida Department of Revenue amended the of accredited practitioners when his or her contact rules regarding sales tax for veterinarians in June 2010 information is inaccurate. which became effective July 12, 2010. The amendments • USDA provides supplemental online training establish three significant rules: 1. Veterinarians are allowed to purchase and sell drugs, (NVAP Training Modules) which is required for medicinal drugs and veterinary prescription drugs tax accreditation. free for use in connection with the medical treatment of • Renewal instructions are sent to Florida veterinarians animals. from the Florida office Area Veterinarian-in-Charge, 2. An Exemption Certificate allows veterinarians to USDA, APHIS, VS, 8100 NW15th Place, Gainesville, continue to purchase tax free, medical products and FL 32606-9137 supplies, and medications and drugs that are intended for use in the treatment of animals during the course • Your questions on accreditation may be directed to of an office visit or during boarding or grooming for Robert Chadwell at the Florida office at (352) 313-3081. which the customer is not billed separately. These arge The Health Care Clinic Establishment included on an invoice to the client.

(HCCE) Permit

3. “Prescription Diets”, drugs, flea treatments, shampoos, etc., not labeled with the Federal Caution Points to Remember Statement, are taxable and sales tax must be collected when they are sold to a client.

1. HCCE allows corporations to purchase and maintain prescription drugs in one corporate inventory USDA ACCREDITIATION to be dispensed by qualifying practitioners who work with them.

The U. S. Department of Agriculture’s Animal and Plant Health Inspection Service (APHIS) also revised its 2. All licensed veterinarians have the legal authority to National Veterinary Accreditation Program (NVAP) in purchase and own prescription drugs.

2010. New accreditation for all veterinarians who were accredited before February 1, 2010 was required by 3. HCCE Permit is required by any multi-veterinarian October 1, 2011. Important information about USDA clinic or solo practitioner who orders drugs through accreditation to take note of: a corporation’s name. The permit covers all the practitioners in a group practice, but requires a • Accreditation renewal is required every three years. “qualifying practitioner” to be named on the permit.

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That practitioner is responsible for all record keeping, storage and handling of all prescription drugs ordered and dispensed under the HCCE. 4. An Individual practice where there is a sole practitioner that orders prescription drugs under his/ her name and license, does not need the HCCE permit.

5. A Veterinarian who has previously been issued a permit, but who has decided to purchase drugs under his/her individual license instead, should return the renewal notice to the Department of Drugs, Devices and Cosmetics, Division of the Department of Business and Professional Regulation along with a letter or simple note stating they are not renewing the permit.

Licensed veterinarians are required to complete 30 hours of continuing professional education in veterinary medicine in the two-year period leading up to their license renewal. New rules that came into effect June I, 2012 require that at least one (1) of those hours be in the area of dispensing prescription drugs, and at least two (2) hours in the area of laws and rules governing the practice of veterinary medicine. It is also important to know that not more than fifteen (15) hours should be non-interactive correspondence courses; and veterinarians can received credit for no more than five (5) hours of continuing education in business and practice management courses or stress and impairment seminars during any two-year period.

The FVMA plans to cover the pharmacy and laws and 6. It is not the intention of the law to prohibit the use rules governing the practice of Veterinary Medicine of Rx drugs by practitioners at an establishment in a requirements of the CE at its 85th Annual Conference group practice that were purchased by another member to be held in Orlando, April 25-27, 2014. of the group practice at that establishment.

Study guide materials for the Veterinary Medicine laws 7. An HCCE Permit is renewable every two years for a and rules examination are available at the following fee of $225. link: www.myfloridalicense.com/dbpr/servop/testing/ Vet_Study_Guide.html.You can view and print from 8. For help and other information concerning HCCE this link.

Permits contact the Department of Drugs, Devices and Cosmetics, Division of the Department of Business and Professional Regulation at (850) 717-1800, 8 a.m. to 5 p.m. Monday through Friday, or the FVMA helpline at (800) 992-3862.

CE REQUIREMENTS FOR VETERINARIANS

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Dr. Paul Nicoletti, professor emeritus at the UF CVM, was honored by the Florida Agriculture Hall of Fame at a banquet on Tuesday, Feb 12 at the Florida State Fairgrounds in Tampa, Florida.

Dr. Paul Nicoletti is a veterinarian and epidemiologist who spent the bulk of his career with the USDA and the University of Florida’s College of Veterinary Medicine. Nicoletti made a lasting contribution to Florida agriculture by improving the procedures used to control bovine brucellosis, or Bang’s disease. He is an internationally recognized authority on bovine brucellosis, and his efforts led to the eventual eradication of the disease in Florida.

Nicoletti was born in 1932 in Goodman, Missouri, and grew up on a small dairy farm. He graduated from the University of Missouri’s College of Veterinary Medicine in 1956. In 1962 he earned a master’s degree from the University of Wisconsin, where he wrote his thesis on brucellosis.

From 1962 to 1968, Nicoletti worked as a USDA regional epidemiologist in Albany, New York. In this capacity he began conducting field investigations of brucellosis. From 1968 to 1972, he served in Iran as an epizootiologist for the United Nations’ Food and Agriculture Organization. He then returned to the United States and to his work as a regional 6 | FVMA ADVOCATE

epidemiologist with the USDA. In 1975 he was transferred to Gainesville, Florida, where his focus was once again brucellosis.

Brucellosis is a bacterial disease that can affect humans as well as animals. In cattle the most common clinical sign is spontaneous abortion.

In humans, symptoms include fevers, weakness, anemia, headaches, depression, and muscle pain.

Brucellosis is an occupational hazard for farm workers, slaughterhouse workers, and veterinarians, who might be exposed to infected animals.

When Nicoletti began his work in Gainesville, the national brucellosis control program was a subject of controversy. The major elements of the program were vaccination of young cattle and slaughter of cattle that were positively identified for the disease by a blood test. Compliance was compulsory, and cattle owners were only partially compensated for their losses.

Nicoletti became convinced that current brucellosis protocols were wasteful and ineffective.

His field studies in Florida led to modifications in the use of brucellosis vaccine, including the inoculation of adult cattle. Before Nicoletti’s adult vaccination program began, cattle owners would have to wait years before calfhood vaccination would begin to help their herds. Adult vaccination made protection for entire herds possible within a matter of days.

Nicoletti also improved the brucellosis blood test, making it more accurate. These changes resulted in an 80 percent reduction in cattle losses.

Nicoletti’s leadership helped mitigate the economic toll of brucellosis on the Florida cattle industry. Even more important, his efforts led to improved food safety and better protection of human health.

In 1978 Nicoletti joined the faculty at the University of Florida’s College of Veterinary Medicine, where he taught courses in infectious diseases, epidemiology, public health, and food safety. He influenced many young veterinary students to consider careers in agriculture and public health.

Nicoletti is a member of the American Association of Bovine Practitioners, the Florida Cattlemen’s Association, and the American Association of Food Hygiene Veterinarians. He is a past president of the American Veterinary Medical Association, the American College of Veterinary Preventive Medicine, the Florida Veterinary Medical Association, the Alachua County Veterinary Medical Association, and Animal Disease Research Workers in the Southern States.

Over the course of his long and distinguished career, Nicoletti has received numerous awards and honors. In 1994 he was named Veterinarian of the Year by the Florida Veterinary Medical Association, and in 2003 he was presented with the Distinguished Service Award by the University of Florida’s College of Veterinary Medicine. His most prestigious award came in 2010 when he was recognized with the Meyer-Steele Gold Head Cane Award, the highest honor of the American Veterinary Epidemiology Society. This award recognizes scientists who have significantly advanced human health through the practice of veterinary epidemiology and public health.

Dr. Nicoletti retired from the University of Florida in 2003. He has two grown daughters, Julie and Nancy.

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Annual

th Dr. Harvey Rubin Memorial Food Animal Veterinary Medical Conference

Past President, Dr. John Bass welcomed he The 6th Annual Dr. Harvey Rubin Memorial Food Animal the conference attendees. He updated the nd Veterinary Medical Conference was held March 2 and gathering on FVMA activities and about rd 3 in Kissimmee, Florida. As well as offering 15 CE units those legislative issues that are important for practitioners, this conference provides an opportunity for for Florida veterinarians. food animal practitioners to exchange ideas, discuss issues and share needs with regulatory animal health officials. Through the collaborative efforts of Florida Department of Agriculture and Dr. Dix Harrell of USDA-APHIS-VS. Consumer Services, Division of Animal Industry (FDACS-DAI), Dr. Harrell’s update covered the new the Florida Veterinary Medical Association (FVMA), United Final Rule on Animal Traceabiltiy as States Department of Agriculture-Veterinary Services (USDAwell as the current status of Brucellosis APHIS-VS), and the University of Florida College of Veterinary and Tuberculosis Programs nationally.

Medicine (UF CVM), this conference is a revival of a tradition Dr. Suzan Loerzel spoke to us about that Dr. Rubin had orchestrated for many years. Sponsorship of the national Scrapie Eradication Program. Dr. Gene Luther, the conference was provided by Bayer Animal Health, Boehringer- from Louisiana State University and University Products, Ingelheim, Merck Animal Health, Merial Ltd., Novartis, and LLC presented “Bovine Anaplasmosis: The disease syndrome, Zoetis Animal Health. Daytime meetings were held at the Osceola treatment, control and anaplasmosis vaccines.” The afternoon County Extension Services building and the evening events were session included a refreshment break thanks to our corporate hosted by The Florida Cattlemen’s Association (FCA) at the FCA sponsors. Sales representatives were present from all companies Headquarters. and we are very thankful for their support. In addition, several tech services veterinarians from these companies were present After several years working to coordinate the topic, Saturday for the conference. morning began with three hours of presentations by Dr. Ray Kaplan from the University of Georgia. Dr. Kaplan is world- As in years past, we moved to the Florida Cattleman’s Association renowned in the area of parasites and anthelminic resistance. (FCA) Headquarters for the evening session. At the FCA building, His topics included “Update on Drug Resistance in Parasites of everyone enjoyed a social hour as steaks were grilled by our Cattle: How big a problem, sponsors’ sales reps. Greg Woodard (Merck), Carlton Taylor and what can we do about it?” and “Recommendations for Control (Boehringer Ingelheim), Alan Davis (Bayer), Tommy Martin and of Cattle Parasites.”

James Stice (Merial), Bret Meyers (Novartis), Kurt Piepenbrink (Zoetis), and Dusty Holley (FCA) prepared our evening activities FVMA President Dr. John Bass welcomed attendees to the and a fantastic dinner. Dinner included steak, swamp cabbage, conference and spoke of FVMA activities and legislative issues green beans, salad and desserts. Mr. Dusty Holley and the FCA that are important for Florida veterinarians. Dean Glen Hoffsis deserve special thanks for coordinating the highlight of the updated the attendees on the UF CVM and his upcoming conference. retirement. Congressman Ted Yoho discussed the issues that As dinner was concluding, a roundtable panel discussion Congressman Ted Yoho, DVM, on issues for Southeastern producers commenced. Concerns discussed the issues being addressed related to parasite control, management and treatment protocols in Washington and his plans for and questions were fielded by the panel of speakers comprised representing Florida and supporting of tech services veterinarians, and UF professors, Dr. Owen agriculture during his term in Congress.

Rae and Dr. Art Donovan. Dr. Harold Newcomb represented Merck Animal Health. Zoetis Animal Health, Beef Veterinary are being addressed in Washington Operations veterinarian was Dr. Dan Scruggs. Dr. Douglas Ensley and his plans for representing of Boehringer-Ingelheim Vetmedica, Inc., Dr. Andy Bennett of Florida and supporting agriculture Merial and Dr. Joe Dedrickson of Merial filled out the panel. The during his term in Congress. After discussion included a lively interaction with veterinarians in the lunch, we received the regulatory audience who sought advice and information from all of the panel update on Program Diseases by members, and continued after the program was finished.

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The 6th Annual Dr. Harvey Rubin Memorial Food Animal Veterinary Medical Conference offered 15 CE units for practitioners and provided an opportunity for food animal practitioners to exchange ideas, discuss issues and share needs with regulatory animal health officials and other industry players.

Dr. Thomas Holt, State Veterinarian was the opening speaker on Sunday morning, and he addressed a number of topics including a summary of some of the disease events in Florida over the past year and the 2012 & 2013 legislative sessions. Dr. John Crews presented an interesting case of toxicity related to Creeping Indigo, an invasive plant that has become common in Florida due to the subtropical environment. Dr. James Maxwell presented information regarding the emergency response aspects of FDACS, Division of Animal Industry and the specific activities that resulted from the flood of June 2012 in Live Oak. This flooding resulted in a temporary closure of the Live Oak Animal Disease Diagnostic Laboratory (LOADDL). Dr. Maxwell discussed the upcoming transitions that are occurring as a result of the upcoming closure of LOADDL. This closure is related to changes in brucellosis surveillance nationally rather than the flood damage.

After a short break, the focus of the meeting switched to the cervidae industry. Captive cervid herds are increasing in Florida.

Dr. John Dedwylder of Texas presented a wealth of information regarding the management, herd health, anesthesia, and preventative care of Whitetail Deer in captive herds. During lunch, Dr. Diane Kitchen presented information about Florida’s Captive Herd Health Programs and the upcoming changes in animal identification rules. Of specific importance in her presentation was the clarification of requirements for Certificates of Veterinary Inspection. Two accreditation modules were presented by Dr. Suzan Loerzel of USDA-APHIS-VS. Veterinarians wishing to maintain Category II Accreditation are required to complete 6 modules every 3 years.

The 6th Annual Dr. Harvey Rubin Memorial Food Animal Conference was a very successful event with 123 veterinarians, students, or allied partners attending. Named in honor of Dr. Harvey Rubin, who provided so much to the profession and specifically to food animal practitioners, the conference offered a combination of current issues and necessary regulatory updates.

Plans have begun for the 7th Annual conference to be held in the spring of 2014.One hundred and thirteen veterinarians, students, and allied partners attended the 5th Annual Dr. Harvey Rubin Memorial Food Animal Conference. Plans have begun for the sixth annual conference in the spring of 2013. If you have questions about the conference, please feel free to contact Dr. Diane Kitchen, Diane.Kitchen@freshfromflorida.com.

The evening roundtable panel discussed issues affecting Southeastern producers and concerns related to parasite control, management and treatment protocols and questions.

Industry partners Bayer Animal Health, Boehringer-Ingelheim, Merck Animal Health, Merial Ltd., Novartis, and Zoetis Animal Health, and the Florida Cattlemen’s Association sponsored and prepared the evening activities which included a fantastic dinner.

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FVMA Hosts successful 8 LAKE BUENA VISTA, FLORIDA

The FVMA’s signature continuing education event, its annual conference was held this year at the Buena Vista Palace Hotel and Spa in Lake Buena Vista, Florida, and proved once again to be exceptionally successful. A visitor or guest of the Buena Vista Palace who was not a registered attendee and happened upon the activity in and around the hotel’s conference halls, meeting rooms, corridors and common areas on the weekend of Friday, April 5, 2013, would have immediately gotten the sense that he or she was a part of a great event.

Demand for participation in this year’s conference exceeded all expectations, and some 121 industry partners populated the two exhibition promenades, the Marketplace and Marketplace Annex B. Strategic placements of a conference internet café in Annex B and sponsored coffee breaks and lunches in the main Marketplace along with other special features brought the hundreds of conference attendees into the exhibit halls to create an atmosphere that bristled with energy and interaction.

The FVMA’s 84th Annual Conference attracted more than 1,600 participants to three days of world-class continuing education, dynamic industry exhibits, ceremonies and special activities.

The conference was designed by the FVMA Conference Adding to the excitement of Committee and staff to provide the Marketplace, Joe Slaven’s an outstanding event that Professional Animals, Inc. offered continuing education fascinated conference goers with for the entire veterinary team their displays of exotic animals. in a vibrant and stimulating The constant and growing environment. gatherings at the exotic animal encounter booths signaled the More than 250 hours of appeal of this unique feature to lectures and wet labs provided conference attendees throughout the day on Friday and Saturday, veterinarians, technicians, while the FVMA Foundation’s Silent Auction and the Cover-All other team members and Bingo Raffle engaged those who eagerly vied to win one of the students with 18 credit hours many coveted prizes on display. This year’s bingo offered some of cutting-edge continuing $10,000 of high-value electronics including flat screen televisions, education. Twenty meeting rooms saw continuous classroom iPads and computers and created the biggest buzz among activity beginning at 8 a.m. daily, while distinguished lecturers conference attendees who packed into the Marketplace Saturday presented wet labs in cytology, laser therapy, ultrasound, afternoon to witness the drawing of the winners. dentistry and ophthalmology.

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8 4 th a n n u a l c o n f e r e n c e

Sunday morning’s complimentary Disney Character Breakfast where guests were joined by favorite Disney characters, Mickey, Minnie, Donald, Goofy and Pluto and the General Assembly that followed, aptly culminated the array of special events planned for the conference. These lovable creatures provided guests with the unique opportunity to socialize and take pictures, which for many is the highlight of the Disney experience. And famed motivational speaker Steve Gilliland delivered a keynote address to the General Assembly. His presentation of “Enjoy the Ride – A Roadmap to Success” delivered an uplifting message of encouragement. He reminded those present to pay attention to the journey’s pathways and to utilize positive instincts as a guide to achieve the best outcomes.

The other activities that included the Annual Awards Ceremony and Installation of Officers, the Business Meeting and Luncheon and the University of Florida College of Veterinary Medicine Alumni & Friends Reception added to the overall experience of a carefully planned, well-balanced and memorable annual conference.

Meanwhile, the FVMA continues to build on its tradition of staging successful conferences and already is looking forward to the 85th annual conference that will once again be held in Lake Buena Vista. This 84th also served as the formal announcement of the inaugural launch of the FVMA’s national continuing education program, the Gulf-Atlantic Veterinary Conference, being held October 3-6, 2013, at the Boca Raton Resort & Beach Club, a premier Florida luxury waterfront property with a unique blend of timeless elegance and modern sophistication.

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co n g r e s s ma n yo h o wa s g u e s t o f h o n o r at t h e fvma b u s i n e s s lu n c h e o n

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highlight of the conference for industry partners and for FVMA members alike was the FVMA Business Meeting and Luncheon where guest of honor, Congressman Ted Yoho addressed the meeting. Congressman Yoho, himself a member of the FVMA, was quick to remind the meeting that he was a veterinarian and member of the FVMA. He expressed his appreciation for the support he enjoys from the FVMA, and spoke about his challenges as a representative in Washington while offering a unique insight into the issues he is occupied with as a United States congressman.

The congressman told the meeting that he was proud of his profession and appreciated the training he received as a student and the lessons he learned as a practicing large animal veterinarian. He said his training and career as a vet have prepared him to undertake this phase of his work in service to the people of Florida. His training which taught him the importance of studying and assimilating the information and knowledge necessary to find workable solutions has been a great asset to him as a congressman tackling the problems of governance in Washington, D.C. Having won his congressional election in November, the congressman who represents the North East Florida District was sworn into office in the 113th United States Congress on January 3.

Mr. Yoho, who is Republican, defeated his Democratic opponent with the support of the FVMA PAC who he credits with affording him a good final push near the end of his campaign to reach the many voters of his District he needed to, to assure his victory at the polls.

Congressman Yoho informed those present that he is engaged in tackling a burdensome regulatory environment. As part

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of a regulatory caucus, Dr. Yoho said he is working to lessen the burdens of regulation. Especially true for business owners, said the Congressman, regulatory agencies that make rules without congressional oversight force businesses to scramble to find ways around the rules to avoid the related economic impacts regulations cause. Specific to the veterinary profession, the congressman explained that he is working with the caucus on the Animal Drug Users Fee Act and the Control Substance Act, as well as the debt forgiveness portion of the student loans bill. Commenting that the cost of qualification for a veterinary student is 300,000 dollars, the congressman revealed that he is working on a Bill to be brought to the House that will relinquish the 39 % tax which is presently imposed on those who are successful in accessing the relief provided for in the Bill. Another matter the congressman mentioned he is working on is the reclassification of hydrocodone from class 3 to class 2.

The reclassification would remove hydrocodone from the list of drugs that can only be prescribed on a monthly basis, thereby providing relief for patients and medical practitioners who find the present regulation oppressive.

He stressed that professionals in the veterinary industry must police themselves and use their associations to find solutions for issues that government cannot solve. He cautioned that selfpolicing is necessary to keep regulators at bay, denying them the opportunity to take over and place restrictions and burdens on industry. He shared that as part of a bi-partisan group of 50 members in Washington, he is committed to working with his colleagues to work for solutions to the pressing problems of the economy, jobs, taxes and regulations faced by the country today.

D R . R AY B URN I NSTA LLE D A S F V M A P RES I D ENT Goldston who died in February, were two extraordinary presentations made by the FVMA. FVMA President Rayburn was himself awarded twice by the FVMA. He received the FVMA God Star Award in 2007, and was named FVMA Veterinarian of the Year in 2011. He has served on the FVMA Board since 2004. He has also served on the University Of Florida College Of Veterinary Medicine Admissions Committee and the College Advisory Committee. A respected voice of advocacy in the FVMA, Dr. Rayburn invited members to remain involved in the programs of the organization. He made a call to young veterinary professionals in Florida to become active and engaged in advancement of the veterinary profession.

Dr. Rayburn practices in Winter Haven Florida, where he and his wife Cathy reside. He owns Carter Animal Hospital, is an active supporter of Ridge Veterinary Medical Society of Polk and Highland counties, and he offers his services for emergency veterinary care to the Polk County Humane Society.

FVMA President Dr. Jerry Rayburn was installed on Friday, April 5, 2013, during the FVMA Annual Awards Ceremony and Installation of Officers. Dr. Rayburn was sworn in along with President-elect Dr. Donald Morgan, Treasurer Dr. Richard Williams, new Board member Dr. Marc Pinkwasser, District 5 Representative, and Dr. Richard Sutliff of District 2, who was sworn in to serve a second term.

Before the installation of Dr. Rayburn, awards were presented to FVMA members, veterinary practice team members and other individuals in recognition of their commitment to the FVMA and their contributions toward the advancement of the FVMA and the practice of veterinary medicine. The FVMA also presented special awards of appreciation to industry partners for their contributions to the success of its membership recruitment and retention campaign. The President’s Award presented to Past President, Geneva Keene Acor, DVM, and the Lifetime Achievement Award to the family of the late Dr. Richard T. “Bill” www.fvma.org | 13

Legislative A

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Action Days

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HIDE YOUR GOAT - Part 4

By STEVE GILLILAND, CSP, CPAE

Teaching An Old Goat New Tricks

I Steve Gilliland is one of the most sought-after speakers in the world. His appeal transcends barriers of age, culture and occupation. His book, “Enjoy the Ride,” has been on the publisher’s bestselling list for seven years.

Gilliland was named author of the year in 2010 and named to the Speaker Hall of Fame of the National Speakers Association in 2012.

For more information about his presentations and resources visit his website at www. stevegilliland.com.

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n the movie “The Bucket List,” blue-collar mechanic Carter Chambers (Morgan Freeman) and billionaire hospital magnate Edward Cole (Jack Nicholson) meet for the first time after both have been diagnosed with terminal lung cancer. Carter begins writing a bucket list -- things to do before he actually kicks the bucket.

Edward urges Carter to do everything on that list and even adds to it.

Since the movie's release, numerous people have adopted the "That's on my bucket list" terminology. There are even websites devoted entirely to the subject.

Writing a book, getting a tattoo, witnessing the northern lights, learning to play the guitar, mastering Japanese, skydiving and swimming with dolphins are typical activities people wish they could accomplish before dying.

What if we were to create a "fill my glass" list instead; one that focuses on achieving personal satisfaction with our everyday lives instead of a pre-death checklist?

We expose our goats to possible incarceration when our center of attention is on our wants, fantasies and wishes instead of on our needs. A need is imperative if you want to be your best. Sometimes it helps to identify needs by thinking about times when you are angry, upset or doing something you're not particularly proud of (i.e., procrastinating). What is it that causes you to feel certain ways or do certain things?

Look deep and you're likely to find a need.

To hide your goat, you must teach it new tricks. You must identify your needs, why they are important to you and what you are doing to meet them. While making a wish list allows you to dream about possibilities, it can obscure the basic needs necessary for a more fulfilled life. Whether you consider your glass to be half full or half empty depends on your point of view -- are you pouring or drinking?

We are inclined to approach life in very similar way. We know there are things we need to do (pouring), but we focus more on the wants (drinking) because it is

seemingly gratifying.

If we repeatedly ignore areas of our life we need to change, we are defenseless against feelings that coincide with those unmet needs and see the glass as half empty. We all have contradictory (pouring or drinking) needs. For some, they are the need to be accepted, cared for, acknowledged and comfortable. For others, they are the need to be free, in control and right. Whatever our needs, listing them is crucial to our understanding of what sometimes causes our goats to get loose and even attack others. Until we recognize our negative needs (old goat) and change our behavior (teach them new tricks), we will always be predisposed to people and circumstances that can get our goat.

While there is nothing wrong with wanting to be accepted, you must determine why that is so important to you. Is it to be respected -- or to be popular? Do you need comfort because it allows you to indulge -- or does it facilitate your ability to serve others? Do you need power in order to be noticed -- or will it enable you to influence other people in a positive way?

To teach an old goat new tricks, start by listing your top seven all-time New Year's resolutions.

For example: • Lose weight • Learn a new language • Eat healthier • Stop biting my nails • Finish what I start • Spend less time surfing the Internet • Anything else that would make me

feel better about myself In his book, “Become a Better You,” Pastor Joel Osteen says, "You can never change what you tolerate. As long as you accept it and accommodate it, you're going to stay right where you are."

If we don't change (teach an old goat a new trick), we don't grow. If we don't grow, people get our goat without even trying.

If you don't have the power to change

yourself, then don't expect your surroundings to change.

When Albert Einstein said, "The definition of insanity is doing the same thing over and over and expecting different results," he was referring to people who are trying to fill a bucket full of holes. Forget your bucket list and start on your needs list -- what you need to change to make your everyday life more fulfilling and rewarding.

Here are just a few new tricks to teach your old goat to ensure it will stay hidden and not be the source of negativity.

• Acquire the need to be happy, not right. Several years ago, I met an elderly couple enjoying the breakfast buffet at a hotel in Seattle, Washington. I couldn't help but notice how attentive and servanthearted the gentleman was toward his wife.

With our tables in close proximity, I actually commented on his caring ways, then asked him how long they'd been married. "65 wonderful years!" the man boldly answered.

"What's the key to staying married that long?"

I asked. His response was one for the ages: "Decide early on that you'd rather be happy than right." And when you're happy, it's harder for people to get your goat.

• Stop telling it like it is. I've heard people say, "Whether you like what they say or not, at least you know where they stand."

Where they stand is in a position to hurt people with self-righteous proclamations that only serve to make themselves feel better. Remember, a closed mouth gathers no feet, and you will never regret your silence.

People who criticize are guided by their own perspective, which is almost always devoid of the whole truth. Your mouth can be a powerful force of hope and encouragement -words can either build up or tear down. Good often comes to people who talk positively in negative situations. Teaching an old goat this trick is not easy, particularly if you have the need to be heard, gossip or make a point.

Consider that when you tell it like it is, you are really showing us more of who you are than what it is.

• Slow down, sit down and shut down.

When you are physically run-down, short on sleep and your energy level is low, you tend to be more irritable, critical, defensive and

negative. It is hard for you to get along with others and harder for them to coexist with you. Fatigue is the silent cancer of people's judgment and emotions. Even simple problems seem insurmountable. When you are tired, go to bed! Turn off the television, shut down the computer and silence your phone. Fatigue can cause you to make permanent decisions based on the stress of temporary circumstances. Take time to rest and renew so you have the energy necessary to hide your goat.

• Free yourself from the skeptics. A Western Union executive memo, written in 1876, read, "The telephone has too many shortcomings to be seriously considered as a means of communication. The device is inherently of no value to us." My favorite memo of all time is from the recording company executive who, in 1962, wrote, "Don't like their sound...guitar music is on the way out." Of course, after he rejected the Beatles, they went on to become the most successful musical group in history. Don't let others blow up your dreams. You will always encounter opposition from mediocre and closed minded types. High achievers struggle against overwhelming obstacles in the face of sharp criticism, but they have the heart to pursue when others might quit. When people are hunting your goat -- armed with criticism, skepticism, ridicule and disbelief -reach deep down into your bag of tricks and prevent them from poisoning your ambitions with self-doubt. The only thing worse than not teaching your goat new tricks is allowing a skeptic to make you doubt yourself.

Checking off items on a bucket list filled with wants may provide immediate gratification, but knowing what you need to change -- and making those changes -- will instill long-term happiness, reduce your stress and foster contentment.

How many times have you heard a person say, "Since I lost weight and started eating right, my life is so much better!" The sooner you start accomplishing items on your needs list (tricks), the closer you will be to then creating a bucket list (wants) without feeling guilty. More importantly, your goat will be easier to hide! www.fvma.org | 23

WORKERS COMPENSATION INSURANCE COVERAGE Intro: The Florida Department of Financial Services Division

of Workers’ Compensation is issuing a call to health care industry employers to be aware of their responsibilities under the Workers’ Compensation Statutes of the state of Florida. The Division’s Compliance Bureau has revealed that in its enforcement activities, it is finding that a number of healthcare industry employers do not carry the proper workers’ compensation insurance.

This is a matter of concern for the Department. It is a matter of concern as well for the FVMA, as members who are found in contravention of the Statutes may be substantially impacted by the Bureau’s enforcement actions. To assist the FVMA in informing membership about this issue, the Division of Workers’ Compensation, Compliance Bureau submitted the following for publication.

All non-construction industry employers in the State of Florida who have four or more employees must have workers’ compensation insurance coverage for all of their employees.

While corporate officers are defined by law as employees, an officer of an active Florida corporation can apply for an exemption for himself, providing that he demonstrates ownership in the business. If exempt, as approved by the Division, the corporate officer would not be included in the count of employees.

The Department of Financial Services, Division of Workers’ Compensation conducts routine investigations of Florida employers, including those in the medical industry, to ascertain that the proper insurance is in effect.

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Where an employer is found to be without workers’ compensation insurance, a Stop-Work Order is issued. A Stop-Work Order requires the cessation of all business operations until the employer comes into compliance with the coverage requirements and pays the assessed penalty. Such penalty under the law is equal to 1.5 times the amount the employer would have paid in premiums within the preceding 3-year period or $1000, whichever is greater.

Employers are encouraged to contact their insurance agent to purchase a workers’ compensation insurance policy. Or an employer may consider an employee leasing arrangement with a professional employer organization that has secured workers’ compensation coverage on behalf of its clients.

The Division holds seminars around the state and monthly webinars to educate Florida employers of their responsibilities.

For additional information about this or for other information please visit www.MyFloridaCFO.com/wc or call Customer Service at 1-850-413-1609.

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www.fvma.org | 25

New Florida Practice Listings!

New! Coastal Panhandle-Est prx w satellite. SA projected gross $950K, well equipped, great staff.

Eastern Panhandle Solo Prx, 5000SF facility on 4 lane.

Experienced, dedicated staff. 2012 projected gross $560K. Prx &R/E available.

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When it comes to on-demand training, we’ve got your whole team covered — from complicated procedures to basic techniques. Give your entire practice full access to www.atdove.org for less than $30/month.

Miami Prime location in upscale retail plaza! Well est, Solo, SA prx excellent reputation & experienced staff Panhandle SA solo prx grossing $700K+. High traffic location, 2,600+SF, extremely profitable, turnkey!

Fort Lauderdale-2500SF lease space ready for dr!

Pensacola SOLD! SA prx, with RE, grossing $735K. Contact Dr. Richard Alker for further practice information.

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26 | FVMA ADVOCATE

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For more information, visit trifexis.com/vet, see your Elanco representative or call 888-545-5973.

Important Safety InformatIon Serious adverse reactions have been reported following concomitant extra-label use of ivermectin with spinosad alone, one of the components of Trifexis chewable tablets. Treatment with fewer than three monthly doses after the last exposure to mosquitoes may not provide complete heartworm prevention. Prior to administration of Trifexis, dogs should be tested for existing heartworm infection. Use with caution in breeding females. The safe use of Trifexis in breeding males has not been evaluated. Use with caution in dogs with pre-existing epilepsy. The most common adverse reactions recorded in clinical trials were vomiting, pruritus, lethargy and diarrhea. To ensure heartworm prevention, observe your dog for one hour after administration. If vomiting occurs within one hour of administration, redose with another full dose. Puppies less than 14 weeks of age may experience a higher rate of vomiting.

For product label, including complete safety information, see page 29. Š2013 Elanco TFX00477

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For more information, visit us online or call your Elanco or distributor representative today comfortis.com | 888-545-5973 Important Safety Information

For cats: The most common adverse reaction recorded in clinical trials was vomiting. Other adverse reactions were: lethargy, decreased appetite, weight loss, and diarrhea. Use with caution with concomitant extra-label use of ivermectin.

For dogs: The most common adverse reaction reported is vomiting. Other adverse reactions reported in decreasing order of frequency are: depression/lethargy, decreased appetite, incoordination, diarrhea, itching, trembling, excessive salivation and seizures. Following concomitant extra-label use of ivermectin with Comfortis, some dogs have experienced the following clinical signs: trembling/twitching, salivation/drooling, seizures, ataxia, mydriasis, blindness and disorientation. Post-approval experience continues to support the safety of Comfortis when used concurrently with heartworm preventatives according to label directions.

For product label, including complete safety information, visit comfortis.com or see page 29 D.N. Carlotti, D.E. Jacobs, 2000. Therapy, control and prevention of flea allergy dermatitis in dogs and cats. Vet. Derm. 11, 83-98

1

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CLASSIFIED ADVERTISEMENTS RELIEF VETERINARIANS

EXPERIENCED SMALL ANIMAL VETERINARIAN –Available

anytime, anywhere! R. A. Swiezy, DVM-(772) 418-1939.(Exp. Issue 5&6/12:557)

Practice for Sale

SMALL ANIMAL PRACTICE–JACKSONVILLE, FL. In operation for

over 40 years. 2,000 sq. ft. free standing building on southside near specialty veterinarians and emergency clinic. 904-724-8866 (Exp. Issue 2&3/13:1110)

SMALL ANIMAL PRACTICE–JACKSONVILLE, FL. Thirty two year old small animal practice at the 5 point intersection of Normandy Blvd., Jacksonville, Florida, for sale. 7500 sq. ft. building, two story facing two streets, vacant site. Owner is retiring. Call Dr. D. Gopal (904) 786-4919 or gopalanimal5344@att.net (Exp. Issue 6&1/13:1106) SMALL ANIMAL PRACTICE: Well Established (34 Years), SingleDoctor, Small Animal Practice In Lovely Town. Located In North-Central Florida One Hour SW Of Jacksonville And 35 Minutes NE of Gainesville.

Short Drive to both Atlantic and Gulf Coast Beaches. Sale Includes Practice, Equipment, Inventory, Building And Real Estate $550,000. Email: Readytoretire01@aol.com (Exp. Issue 6, 1&2/13:1227)

Technicians & Other Staff

Associates Wanted . Bayshore Animal Clinic, located in South

Tampa, Fl. Brand new building, state of the art! Progressive, small animal clinic, 3 doctor practice. Western and Eastern therapies. Great staff, Wonderful clientele. Office hours by appointment M-F 7:45 - 5:30, Sat. 7:45 - noon. No Sundays or nights. 4 years minimum experience. Contact Dr. Rosenburg (Rosenburgstuart@aol.com, 813-293-8434, 813-254-8011 fax) WWW.Bayshoreanimalclinic.com (Exp. Issue 2/13:11196)

Equipment for sale

Available for Sale . Clay Adams "Triac" centrifuge, excellent

condition 100 ma x-ray machine, table, CRIT, developing tanks, hangers, and cassettes. Pelton Crane autoclave, 9" chamber Stainless steel 5-cage unit, like new Other items (surgery light) Contact: Dr. Norman Plews (352) 460-4603 or (727) 271-3880 (Exp. Issue 2/13:1751)

Available for Sale . Aloka SSD-1000 Ultrasound with Sony Printer-Excellent working condition, 7.5mhz Probe, $5,000.00.

Shoreline Electric Lift Table-Excellent working condition, No scale, $1500.00. Tampa. (813) 920 0566; Dr. Langbehn (Exp. Issue 2/13:1808) Available for Sale . Fisher (Autotank) Automatic x-ray processor.

In excellent condition and professionally cleaned and serviced pending sale. Includes 3 (14x17) and 2 (10x12) cassettes, dark room safe lights and film. Contact Dr. David Andrix at 407-892-3415.

(Exp. Issue 2/13:24)

30 | FVMA ADVOCATE

Florida Practices for Sale PRACTICE OWNERS—We are selling new Florida listings faster than ever and have buyers lined up! If you have any thoughts of selling your practice, contact us today for a free consultation.

SOLD! Southwest Coast Only 4 months on market! (FL60G) SOLD! S. Palm Beach Cnty Only 4 months on market! (FL28G) New! Central FL. Gross appox. $1.4M. State-of-the art facility with all the bells and whistles. Attractive farm area. Prx and RE available. (FL45H) N. of New Smyrna. Virtual tour video available! Well-established, leased facility. Impressive equipment. 4.5 day weeks. Low overhead, very profitable. $325K. (FL50A) Polk County. Impeccable 3,000SF facility on busy 4-lane hwy.

Tremendous growth. SA, 2 doctors. Compensation to buyer $340K after-debt service! Prx & RE $2,530K (FL72S) Contract Negotiations! Palm Beach County. Conveniently located on busy 4-lane highway. Well established, very organized SA practice, 1.5 doctors. Gross $925K. (FL12B) BUYERS—If you have a practice in mind that you may like to purchase, we can help you, too! Contact us for a complimentary consultation to learn how. Also, check our website for other listings nationwide.

1610 Frederica Road * Saint Simons Island, GA 31522 Toll Free: 800.333.1984 * www.simmonsinc.com Email: southeast@simmonsinc.com Licensed Florida Real Estate Broker

PS Broker, Inc. Veterinary Practices for Sale Florida: Indian River County- New Listing! Solo, SA, +2,000sf.

3-exam rooms. Great location!

Northern FL- New Listing! SA practicing Integrative & Traditional Western Medicine. 3-exam rooms.

Sarasota County- New Listing! Solo, SA, +2,000sf w/RE. 3-exam rooms. Owner ready to retire!

GA: Dawson County- New Listing! SA, 2,200sf w/RE. IN: Warrick County- SA. 2,200sf w/RE. 2 exam rooms.

ME: York County- SA, 3,500sf w/RE. 2 exam rooms.

NJ: Essex County– 0.23 acres of Real Estate for Sale. Active leased practice on the property.

NY: Orange County - New Listing! Start-Up Specialty Practice! 6,700sf w/RE. 3 exam rooms.

NC: Buncombe County- 3,000sf w/RE. Feline w/room for SA. Piedmont Area- 4,000sf freestanding SA w/RE. 4-exam rooms.

TX: ElPaso County- New Listing!2,500sf w/RE.3-exam rooms.

Our services include Seller Representation, Buyer Representation & Practice Valuations. Give us a call for a free & confidential consultation to discuss your needs. We are here to provide our “Services to You” in Accomplishing Your Goals/Dreams/ Retirement!

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PRSRT STD U.S. Postage PAID Orlando, FL Permit #793

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Spend more time with YOUR dog.

Selling, buying, or just planning your exit strategy? Simmons is ready to work with you. We know business...We know the veterinary business. And we know, with local expertise and national reach, the Simmons office in your area can help you achieve your goals.

When Simmons manages the sale, you can spend your time with those who matter most.

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www.simmonsinc.com Simmons Southeast • 800-333-1984 • southeast@simmonsinc.com practice sales • practice appraisals • buyer agency • sales facilitation • exit strategy